Patient Resources

Receiving a Tubal Ligation Reversal

A woman may receive a tubal ligation to cut or block the fallopian tubes in order to prevent pregnancy. If she desires to restore fertility after receiving a tubal ligation, a woman will receive a tubal ligation reversal.

During this procedure, the blocked segments of the fallopian tubes are reconnected to the remainder of the fallopian tubes, allowing eggs to move through the tubes and allowing sperm to travel up the fallopian tubes to join an egg. If a woman received a tubal ligation procedure that caused a minimal amount of damage to the fallopian tubes, she will be likely to have a successful tubal ligation reversal. Procedures that cause scarring to seal off part of the fallopian tubes, like the Essure or Adiana systems, which are typically irreversible, Dr. Toma at NCCRM is reversing it surgically with a high success rate

Several factors help to determine if your tubal ligation reversal is likely to be successful, including:

  • Your age and body mass index
  • Type of tubal ligation
  • Extent of damage to fallopian tubes
  • Remaining tubal length
  • Other fertility factors, like sperm and egg quality
  • The presence of fibroid or polyps in the uterus, which can be fixed during the surgery

During the procedure, your doctor may use the surgical microscope and microsurgical instruments in order to reattach your fallopian tubes. The doctor will remove any damaged sections of your fallopian tubes and any devices from the tubal ligation, like clips, rings, Essure devise or Adiana devise. They will then reattach the undamaged ends of your fallopian tubes or reimplant the fallopian tube into the uterus with very small stitches. After the procedure, you can begin to slowly resume your normal activities as you feel better, which may take one or two weeks.

Results of success can vary widely, depending on things such as maternal age and the type of tubal ligation procedure you received prior to your reversal. Young women, typically age 35 and under, tend to have better success rates. If your tubal ligation reversal procedure is unsuccessful, IVF may be a good option for you.


The North Carolina Center for Reproductive Medicine (NCCRM) is the premier center for reproductive health in North Carolina and the East Coast. We specialize in fertility testing, diagnosis, and treatment of infertility conditions. Tubal surgery at NCCRM is the most affordable option for women seeking to regain fertility. Contact us today!

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